Temporal lobe malformations, focal epilepsy, and FGFR3 mutations: a non-causal association?

Pia Bernardo1,2,3, Mauro Budetta4, Ferdinando Aliberti5

  • 1Department of Neurosciences and Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy. pia.bernardo84@gmail.com.

Insights

Fibroblast growth factor receptor 3 (FGFR3) gene mutations are linked to temporal lobe abnormalities and epilepsy. This study presents three new cases, reinforcing the association between FGFR3 and neurological conditions.

Area of Science:

  • Neuroscience
  • Genetics
  • Pediatrics

Background:

  • Fibroblast growth factor receptor 3 (FGFR3) mutations are associated with conditions like hypochondroplasia and Muenke syndrome.
  • FGFR3 expression in the developing brain suggests a role in nervous system and hippocampal formation.
  • Prior observations indicate a potential link between temporal lobe malformations, epilepsy, and FGFR3 mutations.

Purpose of the Study:

  • To investigate the association between FGFR3 gene mutations and focal epilepsy with temporal lobe malformations.
  • To report clinical, electroclinical, and neuroimaging findings in children with these conditions.

Main Methods:

  • Case series reporting.
  • Clinical evaluation.
  • Electroencephalography (EEG) analysis.
  • Neuroimaging (MRI) review.

Main Results:

  • Three pediatric cases with focal epilepsy and temporal lobe malformations were identified.
  • All cases were confirmed to have FGFR3 gene mutations.
  • Clinical, electroclinical, and neuroimaging data were analyzed.

Conclusions:

  • The findings support a non-casual association between FGFR3 mutations, temporal lobe abnormalities, and focal epilepsy.
  • FGFR3-related disorders may present with significant neurological manifestations.
  • Further research is warranted to elucidate the underlying mechanisms.